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South Dakota rates for HCPCS A5093

Ostomy accessory; convex insert

Facilitymedian $2 · 10th–90th $1–$40%20%40%10th90th$2Professionalmedian $2 · 10th–90th $1–$40%20%40%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $3.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.72
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $3.02 / $12.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.74 / $35.48
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $3.02 / $3.02
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.09 / $3.09 / $3.09
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $4.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.75 / $3.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $1.82 / $3.24
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.45